心肌梗死急性期ICU病情观察与护理干预.docVIP

心肌梗死急性期ICU病情观察与护理干预 　　【摘要】 目的 探讨心肌梗死急性期的各种护理干预对疾病的积极影响。方法 收集我院近年来心肌梗死急性期患者，安置在ICU病房，配备有先进的监护及抢救设备，在病情观察、护理干预等综合处理的基础上进行回顾性分析。结果 患者能接受所指导内容，经治疗及护理配合，46例患者无一例死亡。结论 心肌梗死起病急、发展快，要求护士掌握本病特点，全面认识疾病，实施护理干预，改善急性心肌梗死患者的症状，提高生存质量，患者满意度高，有利于整体护理质量的提高，降低死亡率及复发率。 　　【关键词】 心肌梗死急性期；ICU；病情观察；护理干预 　　【Abstract】 Objective To investigate the positive impact of various nursing intervention on myocardial infarction in the acute phase.Methods 46 patients,dignosed as acute myocardial infraction (AMI),were treated in the ward of ICU equipped with advanced monitor and rescue system. Various of impacts such as observation on patient?s illness, nursing intervention were analyzed restrospectively.We collected our recent myocardial infarction patients of acute period,put them in ICU,equipped with advanced monitoring and rescue equipment,and we analyzed restrospectively on the basis of comprehensive tretment,including of observation on patient?s illness, nursing intervention.Results These were no death in the 46 patients in the period of treament under the nursing intervention. Patients can accept the guidance,after treating and nursing, 46 patients with no deaths.Conclusion Acute myocardial infarction,has the characteristics of onset suddenly and worsen quickly.it is important for the nurses to master and have a comprehensive understanding of the characteristics of the disease. implementation of the nursing intervention improved symptoms in patients,improvement of quality of life,attainment of higher satisfaction of patients, were helpful for improving the quality of nursing care, and in return reduced the mortality and the recurrence rate. of acute mycardial infraction. 　　【Key words】 Acute myocardial infarction(AMI)； ICU； Observation on patient?s illness； Nursing intervention 　　 　　心肌梗死是内科常见急危重症，是心肌的缺血性坏死。在冠状动脉硬化、狭窄的基础上，发生冠脉供血急剧减少或中断，使相应的心肌严重而持久地缺血损伤导致一系列临床症状。近年来，心肌梗死发病率呈上升趋势，本病发病急，急性期病情变化快，当梗死范围局限时，一般病情较轻，而梗死范围广泛时常可并发严重的心律失常、心衰、心源性休克、心脏破裂等。心肌梗死患者的死亡多发生在第1周内，尤其是数小时内，如有上述并发症者，病死率尤高。在患者入院后，要